Dietary patterns in weight loss maintenance: results from the MedWeight study

Karfopoulou, Eleni; Brikou, Dora; Mamalaki, Eirini; Bersimis, Fragkiskos; Anastasiou, Costas A.; Hill, James O.; Yannakoulia, Mary

doi:10.1007/s00394-015-1147-z

Cited by 38 publications

(43 citation statements)

References 65 publications

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“…Note, those enrolled in the NWCR are not representative of all individuals who have attempted weight loss and who have experienced long-term maintenance, but rather are self-selected based on their success. Nevertheless, some findings from the NWCR are supported by those from the MedWeight registry in Greece, which includes both weight loss maintainers and regainers [82,83,84,85,86]. Among male registrants, weight loss maintainers were found to exhibit greater physical activity (approximately 200 kcal/day more than regainers), greater adherence to a dietary pattern emphasizing home-cooked meals, fruits, vegetables, unprocessed grains, nuts, lean proteins, low-fat dairy products, and olive oil, and lower daily intakes of salty snacks, sugary soda beverages, and alcohol.…”

Section: Can the Weight Loss-induced Energy Gap Be Attenuated By Lmentioning

confidence: 83%

Attenuating the Biologic Drive for Weight Regain Following Weight Loss: Must What Goes Down Always Go Back Up?

et al. 2017

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Metabolic adaptations occur with weight loss that result in increased hunger with discordant simultaneous reductions in energy requirements—producing the so-called energy gap in which more energy is desired than is required. The increased hunger is associated with elevation of the orexigenic hormone ghrelin and decrements in anorexigenic hormones. The lower total daily energy expenditure with diet-induced weight loss results from (1) a disproportionately greater decrease in circulating leptin and resting metabolic rate (RMR) than would be predicted based on the decline in body mass, (2) decreased thermic effect of food (TEF), and (3) increased energy efficiency at work intensities characteristic of activities of daily living. These metabolic adaptations can readily promote weight regain. While more experimental research is needed to identify effective strategies to narrow the energy gap and attenuate weight regain, some factors contributing to long-term weight loss maintenance have been identified. Less hunger and greater satiation have been associated with higher intakes of protein and dietary fiber, and lower glycemic load diets. High levels of physical activity are characteristic of most successful weight maintainers. A high energy flux state characterized by high daily energy expenditure and matching energy intake may attenuate the declines in RMR and TEF, and may also result in more accurate regulation of energy intake to match daily energy expenditure.

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Section: Can the Weight Loss-induced Energy Gap Be Attenuated By Lmentioning

confidence: 83%

Attenuating the Biologic Drive for Weight Regain Following Weight Loss: Must What Goes Down Always Go Back Up?

et al. 2017

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“… Note. Having a healthy eating pattern, , , , sleep quality, , , and internal orientation (locus of control) , were positively associated with weight loss maintenance status. Total support , was negatively associated with weight loss maintenance status.…”

Section: Methodsmentioning

confidence: 95%

Successful weight loss maintenance: A systematic review of weight control registries

et al. 2020

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Summary Weight loss maintenance is a major challenge for obesity treatment. Weight control registries can be useful in identifying psychological and behavioural factors that could contribute to better long‐term success. The objective of this study is to describe the existing weight control registries and their participants and identify correlates of weight loss maintenance. A comprehensive search of peer‐reviewed articles published until November 2018 was conducted in PubMed, Web of Science, and Scopus. Studies that reported results from weight control registries were considered. Fifty‐two articles, corresponding to five registries (the United States, Portugal, Germany, Finland, and Greece), were included. Registries differed in inclusion criteria and procedures. Of 51 identified weight loss and maintenance strategies, grouped in 14 domains of the Oxford Food and Activity Behaviors taxonomy, the following were the most frequently reported: having healthy foods available at home, regular breakfast intake, increasing vegetable consumption, decreasing sugary and fatty foods, limiting certain foods, and reducing fat in meals. Increased physical activity was the most consistent positive correlate of weight loss maintenance. To our knowledge, this is the first systematic review of information about successful weight loss maintenance obtained from weight control registries. Key common influential characteristics of success were identified, which can inform future prospective studies and weight management initiatives.

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“…Long‐term successful weight control requires continued consumption of a lower‐calorie diet, engagement in high levels of physical activity, and frequent self‐monitoring of weight, eating, and activity . The National Weight Control Registry and others have comprehensively described these strategies. The frequency and intensity with which these behaviors are practiced have been consistently related to duration and magnitude of long‐term successful weight control.…”

Section: Introductionmentioning

confidence: 99%

Behavioral and Psychological Strategies of Long‐Term Weight Loss Maintainers in a Widely Available Weight Management Program

Phelan

Halfman

Pinto

et al. 2020

Obesity

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Objective The study’s purpose was to use validated questionnaires to identify novel behavioral and psychological strategies among weight loss maintainers (WLMs) in a commercial weight management program. Methods Participants were 4,786 WLMs in WW (formerly Weight Watchers, New York, New York) who had maintained weight loss ≥ 9.1 kg (24.7 kg/23.8% weight loss on average) for 3.3 years and had a current mean BMI of 27.6 kg/m2. A control group of 528 weight‐stable individuals with obesity had a mean BMI of 38.9 kg/m2 and weight change < 2.3 kg over the previous 5 years. Results WLMs versus Controls practiced more frequent healthy dietary choices (3.3 vs. 1.9; ηp2 = 0.37), self‐monitoring (2.6 vs. 0.7; ηp2 = 0.30), and psychological coping (2.5 vs. 1.1; ηp2 = 0.25) strategies. WLMs also reported more willingness to ignore food cravings (4.4 vs. 3.5; ηp2 = 0.16) and had greater habit strength for healthy eating (5.3 vs. 3.2; ηp2 = 0.21). Standard canonical coefficients indicated that dietary (0.52), self‐monitoring (0.40), and psychological (0.14) strategies as well as habit strength for healthy eating (0.15) contributed independently and most (49.5% of variance) to discriminating groups. Conclusions In a widely available weight management program, more frequent practice of healthy dietary, self‐monitoring, and psychological coping strategies as well as development of greater habit strength for healthy eating differentiated long‐term WLMs from weight‐stable individuals with obesity.

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Dietary patterns in weight loss maintenance: results from the MedWeight study

Cited by 38 publications

References 65 publications

Attenuating the Biologic Drive for Weight Regain Following Weight Loss: Must What Goes Down Always Go Back Up?

Attenuating the Biologic Drive for Weight Regain Following Weight Loss: Must What Goes Down Always Go Back Up?

Successful weight loss maintenance: A systematic review of weight control registries

Behavioral and Psychological Strategies of Long‐Term Weight Loss Maintainers in a Widely Available Weight Management Program

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